Download or read book Rural Hospital based Residency Programs written by Thomas C. Ricketts and published by . This book was released on 1994 with total page 49 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Improving Rural Health written by Thomas Allen Bruce and published by Rose Publishing Company (AR). This book was released on 1984 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Hey Doc written by M. D. James Damos and published by . This book was released on 2019-07-08 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Wisconsin family physician, Dr. James Damos, knows firsthand what rural practice can contribute to the body of medicine and to the communities they serve. While most of today's medical students will choose specialized fields of care in a city environment, James Damos bucked the trend. For the past few decades, medical schools have steered their students toward specialization and away from the option of serving as a doctor in a small community. Damos would like to see this changed. Using real-life examples and illustrations from his own experience practicing in a small town, Dr. Damos provides a glimpse into the exciting challenges these doctors face day to day. Damos also describes the health challenges his own family has endured, detailing their struggles with childhood cancer and Alzheimer's Disease. These traumatic events and others described in this heartfelt memoir drive home the benefits of a close-knit community. From the viewpoint of a doctor, a husband and a father, Jim Damos illustrates how genuine personal relationships and a connection with others is sometimes the best medicine.
Download or read book Barriers to Residency Training of Physicians in Rural Areas written by and published by . This book was released on 1998 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: EXECUTIVE SUMMARY: Despite the rising number of physicians in the U.S., even relative to the size of the population, physicians continue to disproportionally locate their practices in urban areas. In 1965, there was one nonfederal, patient care physician for every 807 persons in the U.S.; this ratio had reached one patient care physician for every 455 persons in 1996 (Randolph, 1997). Rural communities, however, have not shared equitably in that increase. While 24% of Americans live in nonmetro counties, only 11% of patient care physicians practice in those counties; this proportion has fallen since 1980 (Randolph, 1997). Consequently, residents of rural areas are far more likely to live in health personnel shortage areas than are urban residents. Although allopathic and osteopathic family medicine residency graduates are much more likely than other primary care residency graduates to locate in rural areas, the proportion and number of family medicine graduates doing so have been declining over the past decade (American Association of Medical Colleges, 1995). Many factors contribute to the imbalance in the distribution of physicians, including: the type of training chosen, the location of medical training sites, physicians' lifestyle preferences, and aspects of rural communities such as the strength of their economies and health care delivery systems. Training physicians in rural areas has been advocated as one strategy to attempt to increase the numbers of rural physicians. This report summarizes what is known about rural graduate medical education (GME) in family medicine, general internal medicine, pediatrics, obstetrics and gyneconology, and general surgery. It identifies barriers to rural graduate medical training and proposes actions that might be taken to reduce or remove those barriers. LITERATURE REVIEW - LIMITED PUBLISHED DATA; MOST RURAL GME IN FAMILY MEDICINE: A review of the literature reveals a dearth of information on either allopathic or osteopathic graduate medical education in rural areas. Several case-reports describe elective rotations and rural continuity clinics in general internal medicine and pediatrics residencies, and a few of these offer anecdotal reports of outcomes concerning the practice locations of the graduates of these programs. We found no published reports of organized rural training experiences in general surgery or obstetrics and gynecology. The literature did show that 15% of physicians in small rural counties are osteopathic physicians, despite their comprising only 5% of all U.S. physicians (Simpson & Simpson, 1994). Allopathic and osteopathic family practitioners are equally likely to choose rural practice, but only 11% of allopathic graduates become family practitioners, whereas 46% of osteopathic graduates do so. A larger, but still quite modest, literature report on rural training experiences in allopathic family medicine. About half of all family medicine residencies offer some type of rural experience and 40% have a required rural rotation (Bowman & Penrod, 1998). Family medicine has developed both three-year residencies based entirely in rural areas with the expressed mission of training physicians for rural practice, and "rural training track" (RTT) residency programs. In RTTs, residents spend their first year of training in a larger, more urban setting, then spend their last two years training in a much smaller, rural setting, though they usually rotate back to the larger setting for some experiences in these latter two years. The limited evidence available indicates that most RTT graduates establish practices in rural areas. A survey of 96% of all family medicine residencies suggested that being located in a more rural state, being located in a smaller population center, having an explicit mission for rural health care, and having a required rural rotation all increased the likelihood that graduates of a program would locate in a rural area (Bowman & Penrod, 1998). INTERVIEWS WITH PERSONS INVOLVED WITH RURAL GME: We interviewd persons involved with rural graduate medical education at a number of sites. Most of the people interviewed were in family medicine, as most rural training activity appears to occur in family medicine, but we also spoke with persons involved with rural training in general internal medicine, pediatrics, and general surgery. FINANCIAL BARRIERS RELATED TO MEDICARE GME FUNDING ARE THE BIGGEST PROBLEM: By far, financial obstacles present the greatest identified barriers to increasing rural training opportunities. All GME programs depend on Medicare GME funding paid to teaching hospitals. GME funding is directly related to the hospital volume of Medicare patients and goes predominantly to states with large urban populations through urban hospitals. For example, for every Medicare enrollee in New York, hospitals receive $62 in GME payments, while the comparable amount for Idaho hospitals is $1.02. Many aspects of the GME funding ...
Download or read book Graduate Medical Education that Meets the Nation s Health Needs written by Institute of Medicine (U.S.). Committee on the Governance and Financing of Graduate Medical Education and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Intro -- FrontMatter -- Reviewers -- Foreword -- Acknowledgments -- Contents -- Boxes, Figures, and Tables -- Summary -- 1 Introduction -- 2 Background on the Pipeline to the Physician Workforce -- 3 GME Financing -- 4 Governance -- 5 Recommendations for the Reform of GME Financing and Governance -- Appendix A: Abbreviations and Acronyms -- Appendix B: U.S. Senate Letters -- Appendix C: Public Workshop Agendas -- Appendix D: Committee Member Biographies -- Appendix E: Data and Methods to Analyze Medicare GME Payments -- Appendix F: Illustrations of the Phase-In of the Committee's Recommendations.
Download or read book Health Care Needs in Rural Areas written by United States. Congress. House. Committee on the Budget. Task Force on Human Resources and published by . This book was released on 1991 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Rural Health Professionals written by and published by . This book was released on 1991 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Hospital Based Emergency Care written by Institute of Medicine and published by National Academies Press. This book was released on 2007-05-03 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.
Download or read book Financing Graduate Medical Education in a Changing Health Care Environment written by and published by . This book was released on 2000 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Federal Register written by and published by . This book was released on 2013-05 with total page 572 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Report on the Impact of the Family Practice Residency Act Grant Program written by Center for Rural Health (Ill.) and published by . This book was released on 1994 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Increasing Access to Health Workers in Remote and Rural Areas Through Improved Retention written by World Health Organization and published by World Health Organization. This book was released on 2010 with total page 79 pages. Available in PDF, EPUB and Kindle. Book excerpt: Accompanying CD-Rom has same title as book.
Download or read book Resident Duty Hours written by Institute of Medicine and published by National Academies Press. This book was released on 2009-04-27 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.
Download or read book Rural Health and Health Reform written by United States. Congress. Senate. Special Committee on Aging and published by . This book was released on 1995 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Distributed to some depository libraries in microfiche.
Download or read book Code of Federal Regulations written by and published by . This book was released on 2000 with total page 992 pages. Available in PDF, EPUB and Kindle. Book excerpt: Special edition of the Federal Register, containing a codification of documents of general applicability and future effect ... with ancillaries.
Download or read book Health care in rural America written by and published by National Academies. This book was released on 1990 with total page 542 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Background Material and Data on Major Programs Within the Jurisdiction of the Committee on Ways and Means written by and published by . This book was released on 2004 with total page 1652 pages. Available in PDF, EPUB and Kindle. Book excerpt:
